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Hip Lecture


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Hip Lecture

  1. 1. Hip Mobilization Case Presentation Osteoarthritis of the Left Hip
  2. 2. Osteoarthitis <ul><li>A degenerative process that affects both the capsule and the articulator cartilage </li></ul>
  3. 3. Presentation <ul><li>History </li></ul><ul><ul><li>55 year old male with onset of osteoarthritis dating back eight years </li></ul></ul>
  4. 4. Presentation <ul><li>Clinical Finding </li></ul><ul><ul><li>Restricted hip range of motion. </li></ul></ul><ul><ul><ul><li>Main restriction was limitation of flexion , abduction and medial rotation. </li></ul></ul></ul><ul><ul><ul><li>Capsular pattern - ref: Cyraix, & Magee </li></ul></ul></ul>
  5. 5. Presentation <ul><li>Soft Tissue Dysfunction: </li></ul><ul><ul><li>Weakness in the gluteus maximus,medius, minimus. </li></ul></ul><ul><ul><li>Restriction within the pirformis, It Band and Hip adductors </li></ul></ul>
  6. 6. Therapy Goals <ul><li>Restore hip joint range of motion </li></ul><ul><li>Improve hip soft tissue flexibility </li></ul><ul><li>Strengthen muscles around the hip region. </li></ul>
  7. 7. Treatment Methods <ul><li>Joint mobilization </li></ul><ul><li>Soft tissue stretching </li></ul><ul><li>Exercises </li></ul>
  8. 8. Selection of Techniques <ul><li>Traction ( inferior glide) </li></ul><ul><li>Lateral traction </li></ul><ul><li>Anterior glide </li></ul><ul><li>Posterior glide </li></ul>
  9. 9. Inferior Glide at 90 Degrees of Hip Flexion <ul><li>Used to increased hip flexion </li></ul><ul><li>Avoids hamstring tightness </li></ul><ul><li>More direct force at the hip. </li></ul>
  10. 10. Anterior Hip Glide <ul><li>Used to increase hip extension and external rotation. </li></ul>
  11. 11. Posterior Glide of Hip <ul><li>Used to increase hip flexion and internal rotation. </li></ul>